Messiaen T, Lefebvre C, Geubel A
Service de Médecine Interne Générale, Cliniques Universitaires St-Luc, Brussels, Belgium.
Liver. 1996 Oct;16(5):342-3. doi: 10.1111/j.1600-0676.1996.tb00758.x.
We present the case of a 64-year-old previously healthy man admitted for long evoluating fever. Buccal examination showed severe parodontitis. Blood cultures were positive for Leptotrichia buccalis and computed abdominal tomography discovered a hepatic abscess. So far, only exceptional cases of systemic diseases associated with Leptotrichia buccalis infections have been described in immunocompetent patients. Thus, in cases of severe parodontitis and long evoluating fever, attention must be paid to secondary anaerobic infections even in immunocompetent subjects.
我们报告一例64岁既往健康男性,因长期发热入院。口腔检查显示严重牙周炎。血培养颊纤毛菌阳性,腹部计算机断层扫描发现肝脓肿。迄今为止,仅在免疫功能正常的患者中描述过与颊纤毛菌感染相关的全身性疾病的罕见病例。因此,在出现严重牙周炎和长期发热的病例中,即使是免疫功能正常的受试者,也必须注意继发性厌氧菌感染。